Evidence map›Paper›PMID 37296478›Full record

ArticleRespiratory research2023

Comprehensive bronchoalveolar lavage characterization in COVID-19 associated acute respiratory distress syndrome patients: a prospective cohort study.

Fiorella Calabrese, Francesca Lunardi, Elisa Baldasso, Federica Pezzuto, Asuman Kilitci, Gheorghe-Emilian Olteanu, Claudia Del Vecchio, Francesco Fortarezza, Annalisa Boscolo, Marco Schiavon and 5 more

Open access · goldAbstract readLetter
In one paragraph

Article in Respiratory research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
  2. Viruses · 2025
    Article
  3. Article
  4. Review
  5. Observational
  6. Article
  7. Review
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 3 institutions in 3 countries.

Fiorella CalabreseDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova Medical School, Padova, Italy. fiorella.calabrese@unipd.it.
Francesca LunardiDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova Medical School, Padova, Italy.
Elisa BaldassoDepartment of Medicine, University of Padova Medical School, Padova, Italy.
Federica PezzutoDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova Medical School, Padova, Italy.
Asuman KilitciDepartment of Medical Pathology, Faculty of Medicine, Düzce University, Düzce, Turkey.
Gheorghe-Emilian OlteanuDepartment of Infectious Diseases, Discipline of Pulmonology, Center for Research and Innovation in Personalized Medicine of Respiratory Diseases, "Victor Babes" University of Medicine and Pharmacy, Timisoara, Romania.
Claudia Del VecchioDepartment of Medicine, University of Padova Medical School, Padova, Italy.
Francesco FortarezzaPathological Anatomy Unit, Padova University Hospital, Padova, Italy.
Annalisa BoscoloDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova Medical School, Padova, Italy.
Marco SchiavonDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova Medical School, Padova, Italy.
Luca VedovelliDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova Medical School, Padova, Italy.
Annamaria CattelanInfectious Diseases Unit, Department of Medicine, Padova University Hospital, Padova, Italy.
Dario GregoriDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova Medical School, Padova, Italy.
Federico ReaDepartment of Cardiac, Thoracic, Vascular Sciences, and Public Health, University of Padova Medical School, Padova, Italy.
Paolo NavalesiDepartment of Medicine, University of Padova Medical School, Padova, Italy.
University of Padua · ITDüzce Üniversitesi · TRVictor Babeș University of Medicine and Pharmacy Timișoara · RO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

COVID-19-related acute respiratory distress syndrome (CARDS) is associated with high mortality rates. We still have limited knowledge of the complex alterations developing in the lung microenvironment. The goal of the present study was to comprehensively analyze the cellular components, inflammatory signature, and respiratory pathogens in bronchoalveolar lavage (BAL) of CARDS patients (16) in comparison to those of other invasively mechanically ventilated patients (24). In CARDS patients, BAL analysis revealed: SARS-CoV-2 infection frequently associated with other respiratory pathogens, significantly higher neutrophil granulocyte percentage, remarkably low interferon-gamma expression, and high levels of interleukins (IL)-1β and IL-9. The most important predictive variables for worse outcomes were age, IL-18 expression, and BAL neutrophilia. To the best of our knowledge, this is the first study that was able to identify, through a comprehensive analysis of BAL, several aspects relevant to the complex pathophysiology of CARDS.

Indexed as

COVID-19PneumoniaRespiratory Distress SyndromeBronchoalveolar LavageBronchoalveolar Lavage FluidHumansProspective StudiesSARS-CoV-2ARDSBronchoalveolar lavageCOVID-19Cytokine profileMicrobiology

Identifiers

PMID37296478
PMCPMC10250841
OpenAlexW4379987997

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.